Individual
LATANYA R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9465 HIGHWAY 5, DOUGLASVILLE, GA 30135-1509
(678) 732-1513
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(551) 295-8223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN189368
GA
Other
Enumeration date
07/16/2012
Last updated
10/29/2025
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